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Individual

DIANE ROOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2827 FORT MISSOULA RD BLDG 4, MISSOULA, MT 59804-7408
(406) 327-4050
(406) 327-4566
Mailing address
2827 FORT MISSOULA RD BLDG 4, MISSOULA, MT 59804-7408
(406) 543-6095

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MT

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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